Doctor Name: | MR. DONALD E JONES |
NPI Number: | 1023095346 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | |
Business Practice Address: | 100 N Walkup Ave Crystal Lake, IL - 600144383 |
Business Phone Number: | 8154441090 |
Business Fax Number: | 8157881345 |
Mailing Address: | 1199 Westport Rdg, CRYSTAL LAKE |
State: | IL |
Postal Code: | 600148988 |
Phone Number: | 8154556463 |
Fax Number: | 8157881345 |
NPI Enumeration Date: | 12/28/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |